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Am J Otolaryngol. 2018 Jul - Aug;39(4):396-400. doi: 10.1016/j.amjoto.2018.03.029. Epub 2018 Mar 29.

Butterfly cartilage tympanoplasty outcomes: A single-institution experience and literature review.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: mejd.jumaily@health.slu.edu.
2
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: joel.franco@health.slu.edu.
3
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: jim.gallogly@health.slu.edu.
4
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: joshua.hentzelman@health.slu.edu.
5
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: dary.costa@health.slu.edu.
6
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: alan.wild@health.slu.edu.
7
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address: anthony.mikulec@health.slu.edu.

Abstract

PURPOSE:

In 1998, Dr. Eavey described the trans-canal inlay butterfly cartilage tympanoplasty technique, also known as cartilage button tympanoplasty. Many retrospective studies have since demonstrated its efficacy and decreased operative time when compared to underlay and overlay tympanoplasty techniques. The butterfly cartilage tympanoplasty approach uses only a cartilage graft to repair tympanic membrane perforations. The aim of this study was to review the literature for studies that examined butterfly cartilage tympanoplasty success rates and outcomes and compare them to outcomes from our cohort.

MATERIALS AND METHODS:

Butterfly cartilage tympanoplasties were performed in 23 pediatric patients and 7 adult patients. We evaluated the tympanic membrane perforation closure rate and hearing results measured by closure of the air-bone gap.

RESULTS:

The reviewed studies evaluating butterfly cartilage tympanoplasties demonstrated perforation closure rates between 71%-100%. The hearing outcomes in the reviewed literature varied, although the majority reported improved hearing. In our cohort, 21 of the 32 repaired tympanic membrane perforations demonstrated complete perforation closure. The mean follow-up length was 13.4 months. The mean air-bone gap decreased from 13.4 dB to 6.9 dB.

CONCLUSIONS:

The butterfly cartilage/cartilage button technique is effective in closing tympanic membrane perforations and decreasing the air-bone gap in both adults and children.

KEYWORDS:

Butterfly cartilage; Inlay; Outcomes; Tympanoplasty

PMID:
29628367
DOI:
10.1016/j.amjoto.2018.03.029
[Indexed for MEDLINE]

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